| NPI | 1730556275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMINE S BAJNATH Credentialing Manager 404-756-5752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology | |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2021-03-10 |