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 |