NPI | 1699058354 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY LYNN BRUNSON Family Nurse Practitioner 318-259-1511 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP05919) |
Enumeration Date | 2011-09-20 |
Last Update Date | 2011-09-20 |