| NPI | 1306096854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA G LANDRY Co Owner 337-363-0456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 023604) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA 05182) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 04414) | |
| Enumeration Date | 2008-09-21 |
| Last Update Date | 2008-09-21 |