| NPI | 1194551754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANETTE SANDERS Authorized Officer 800-463-6628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |