| NPI | 1962785071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA L FARHAT Owner/Fnp 800-568-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN6504) |
| Enumeration Date | 2011-09-25 |
| Last Update Date | 2011-10-31 |