| 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 |