| NPI | 1841166774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASEY ROBERTSON CAO 225-451-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2025-10-16 |
| Last Update Date | 2025-10-16 |