| NPI | 1144269002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY L BRAITHWAITE Office Manager 540-437-1296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: VA 101037944) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 101054345) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-04-16 |