| NPI | 1619291630 |
|---|---|
| Former Name | KACIE NICOLE LUMMEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: LA 206145) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OK 30780) |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2021-04-09 |