| NPI | 1396298766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA R DAVILLA Owner 504-410-4197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05985) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |