| NPI | 1790444339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA CHEN President 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2023-10-31 |