| NPI | 1376640086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R SANTANA Assistant Secretary 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 363LW0102X Nurse Practitioner, Women's Health | |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2023-10-17 |