| NPI | 1760534622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARMAINE VIDRINE Chief Financial Officer 337-783-3222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-03-05 |