| NPI | 1720104664 |
|---|---|
| Former Name | DAOKA BACCAM-HARTMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NE 110668) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NE 110668) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2010-09-22 |