| NPI | 1548421662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ANN SAUCIER Owner 228-864-9669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R865919) |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-06-20 |