| NPI | 1992538573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAD GOW Dha Medical Management Team Lead 571-835-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |