| NPI | 1356965644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PITZER Assistant Secretary 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2024-03-25 |