| NPI | 1770817504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA LYNN MATHIS Owner/Nurse Practioner 703-330-3285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: VA 0024167746) |
| Enumeration Date | 2009-09-26 |
| Last Update Date | 2009-09-26 |