| NPI | 1932997335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIA KOMBA Owner/Nurse Practitioner 240-498-1879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-04-28 |