| NPI | 1396905196 |
|---|---|
| Former Name | JEAN ELIZABETH GULLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN (RN) 42259 (NP)5336) |
| Enumeration Date | 2008-06-15 |
| Last Update Date | 2008-06-15 |