| NPI | 1922386143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD P RABALAIS Chairman 502-852-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics Pediatric Hematology-Oncology |
| Additional Taxonomies | 103T00000X Psychologist |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2011-07-22 |