| NPI | 1942982988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHE WATSON Practice Owner 301-870-7287 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-01 |