| NPI | 1376199273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA EVANS Np/Owner 703-863-5447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2022-06-13 |