| NPI | 1750768040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA WHITE Board Member 985-466-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD.207685) |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |