| NPI | 1609227149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A TANOURY Administrator 225-678-9869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F335542-1) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2023-11-09 |