NPI | 1750590923 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA CRAIG BOOHER Owner 731-661-0061 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN 000 000 8039) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2008-03-04 |