| NPI | 1982068102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HELO BLAKE Practitioner/Owner 337-296-6601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA APO7715) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |