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 |