| NPI | 1932762721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISHA C FALK VP Of Contracting 800-893-9698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2021-05-17 |