| NPI | 1639889454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI CHRISTY HONORE' Owner/Director 225-200-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 163WP0200X Registered Nurse, Pediatrics | |
| 208000000X Pediatrics | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2022-12-02 |