| NPI | 1902992795 |
|---|---|
| Former Name | ELEANOR FRANCES LUSTIG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 089007521N2 PNP PP) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |