| NPI | 1376835223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA NORRIS Owner 731-607-8184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN12650) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |