| NPI | 1952312803 |
|---|---|
| Former Name | MARTHA JACQULYN CUNNINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000005193) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-07-08 |