| NPI | 1255082343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVITRI SHERRY GOPAUL Nurse Practitioner 804-441-8457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2023-02-09 |