| NPI | 1467790071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ORTIZ-NATOLI Pediatrician 757-254-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101227101) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2022-03-21 |