| NPI | 1902261860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA LYNN WALCK Neonatal Nurse Practitioner 215-808-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: TN 20795) |
| Enumeration Date | 2015-12-20 |
| Last Update Date | 2015-12-20 |