| NPI | 1124970942 |
|---|---|
| Former Name | GRACIE BETH CUTHBERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024196408) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 260709) |
| Enumeration Date | 2026-02-12 |
| Last Update Date | 2026-06-15 |