| NPI | 1245314319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROZANNE GENYVE EVINDA BENTT Member 703-822-9370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: VA 0101046449) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MD D0059703) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-12-01 |