| NPI | 1407970544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA E ROCKSTROH Credentialing Specialist 707-521-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2022-07-21 |