NPI | 1851587208 |
---|---|
Former Name | KATHLEEN E MCCUMBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RNNP256294) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MA 256294) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2023-08-22 |