| NPI | 1588917603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE DETRAZ CEO/Nurse Practitioner 337-739-7278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA APO 4805) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2024-02-07 |