| NPI | 1336511971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MARY WEAVER Owner 703-466-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101232754) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |