| NPI | 1093402489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA H DEETER President, Director 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| 2080P0205X Pediatrics, Pediatric Endocrinology | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
| 2080P0208X Pediatrics, Pediatric Infectious Diseases | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |