| NPI | 1427357383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY H. BALDRIDGE Clinical Director 318-487-7107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05848) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |