| NPI | 1407115207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DANIELSON Manager 540-656-2804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101058318) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |