| NPI | 1821700857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES M GRIES Director, President 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 363LN0000X Nurse Practitioner, Neonatal | |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2022-12-21 |