| NPI | 1144559790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA LYNN MATHIS Owner/CEO 703-330-3285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0024167746) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VA 0024167746) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |