| NPI | 1326192303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY ELIZABETH DORRIS President 731-967-8813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN10647) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2010-11-09 |