| NPI | 1629405477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL L KREWSKY Sole Member 985-326-8011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05069) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2014-02-03 |