| NPI | 1306106182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANIKA GOVIL President 703-599-8463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101242454) |
| 208000000X Pediatrics | |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2023-08-31 |