NPI | 1700827219 |
---|---|
Entity Type | Organization |
Authorized Contact | GREG J. GAVIN Network Administrator 318-212-8780 |
Organization Subpart ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health |
Enumeration Date | 2006-06-08 |
Last Update Date | 2007-11-08 |