| NPI | 1811028582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID KARIN ROSKOS Owner 985-781-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: LA MD.14651R) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2011-11-02 |