| NPI | 1316230394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMI K HERKEY Owner 318-288-1327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA AP03544) |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2013-01-03 |