| NPI | 1174508527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W MCMURRAY CFO 302-428-2522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2022-02-23 |