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 |