NPI | 1558814673 |
---|---|
Other Name | MACY KLUMPP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 277-000716) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209014491) |
Enumeration Date | 2016-07-25 |
Last Update Date | 2023-06-28 |