| NPI | 1548711419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERLENE M SHERARD Nurse Practitoner 804-225-7148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024173995) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-12-07 |