NPI | 1013900133 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHERINE FLORENCE VANDERLOOS Medical Doctor Ob/Gyn 318-687-1992 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: LA 07702R) |
Enumeration Date | 2005-08-24 |
Last Update Date | 2010-01-25 |