| NPI | 1538400619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA BRUCE Owner/Authorized Rep 703-753-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2016-11-29 |