NPI | 1871368134 |
---|---|
Doing Business As | YOUR CORNER PEDIATRICS |
Entity Type | Organization |
Authorized Contact | KATHRYN MCGOVERN Owner 317-676-9943 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
Enumeration Date | 2023-11-16 |
Last Update Date | 2023-11-16 |