| NPI | 1093959157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS E. GLASER Assistant Secretary 954-384-0175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: VA 0024102823) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2024-11-04 |