| NPI | 1528420429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA MARIE PERSSON Nurse Practitioner 540-493-7759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173410) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |