| NPI | 1164656120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SANTANA Assistant Secretary 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| 363LN0000X Nurse Practitioner, Neonatal | |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2023-11-06 |