NPI | 1295217883 |
---|---|
Former Name | KATIE ANNE ZGANJAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: TN 23842) |
Additional Taxonomies | 2080P0207X Pediatrics Pediatric Hematology-Oncology (Licence: TN 23842) |
Enumeration Date | 2018-08-30 |
Last Update Date | 2024-02-29 |