| NPI | 1942993019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLATUNJI IBERU-OLUSHOGA Owner 301-728-0345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-06-02 |