| NPI | 1275698797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA A HOFFMAN Office Manager 731-885-8282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000106893) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2015-11-09 |