| NPI | 1861934747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ELAINE ROGERS Physician / Owner 504-315-4247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology Procedural Dermatology |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2020-06-27 |