| NPI | 1265644421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSIE WHITE Administrator 985-892-7621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2025-09-11 |