| NPI | 1144631276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWANA MUFTI Owner 571-249-0717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: VA 0101241302) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-05-12 |