Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 0101257452 | VA |
NPI | 1013356260 |
---|---|
Provider Name | Heather L Wolfe |
First Address | Baltimore, MD 21297-3174 |
Second Address | Falls Church, VA 22042-2349 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2013 |
Last Update Date | 18/08/2021 |