| NPI | 1356614218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY BETZ Practice Manager 225-924-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA 016009) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |