| NPI | 1164883260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLEY G LOVELL Nurse Practitioner 804-512-6277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024168156) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |