NPI | 1952519639 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLI D SHOWS Office Manager 318-338-3585 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: LA RN070425 AP03721) |
Enumeration Date | 2007-05-18 |
Last Update Date | 2009-01-07 |