| NPI | 1689311508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN ATHEY Owner 703-593-9103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-05-13 |
| Last Update Date | 2024-05-02 |