| NPI | 1063792455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN J ZAUNBRECHER Provider 337-384-1334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP03174) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |