| NPI | 1346615390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE CATHERINE STILE-KILLIAN Nurse Practitioner 703-777-1513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA B511690) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2016-04-04 |