| NPI | 1003217167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA K CONNOR Office Manager 270-629-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-12 |