| NPI | 1972845931 |
|---|---|
| Doing Business As | NORTHSIDE YMCA |
| Entity Type | Organization |
| Authorized Contact | SMRITI KHARE President, Children's Medical Group 414-266-7615 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-10-04 |