| NPI | 1992072953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARITA DAVIS ACKLIN Administrator 225-405-2874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 170100000X Medical Genetics, Ph.D. Medical Genetics |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |