| NPI | 1255805693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA LEMOINE GUIDROZ Officer, Regulatory Reporting 225-292-2031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner Community Health |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2019-01-18 |