| NPI | 1952557811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON ANNIBELLE VAN-COOTEN Office Administrator 202-546-2219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: DC MD11388) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: DC DII00000314) |
| 207R00000X Internal Medicine (Licence: DC MD31662) | |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |