| NPI | 1255811659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATNENA LUSTER Owner 985-771-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |