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 |