| NPI | 1073059945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJAH FIELDER Owner 337-886-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA RN130981) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2024-04-16 |