Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | R170323 | MD |
NPI | 1013558683 |
---|---|
Provider Name | Hotenesia Njoroge |
First Address | Rosedale, MD 21237-5009 |
Second Address | Rosedale, MD 21237-5009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2019 |
Last Update Date | 03/10/2019 |