| NPI | 1003100843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA D ANDERSON Sole Member 703-841-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101247696) |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2011-06-08 |