Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 112314 | CA |
Y | 207VG0400X | Gynecologist | MD040397 | DC |
NPI | 1194977470 |
---|---|
Provider Name | Dr. Astrid R Von Walter |
First Address | Mc Lean, VA 22102-3422 |
Second Address | Rockville, MD 20850-4814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2008 |
Last Update Date | 16/02/2021 |