| NPI | 1104830843 |
|---|---|
| Other Name | KATHLEEN B MCCORMICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: DE LJ0000119) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE L10022291) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2011-12-29 |