| NPI | 1548615552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHARINE VACHON Owner 931-802-6058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 11796) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |