| NPI | 1952614398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE NUGENT Medical Director Of Hematology 714-532-8649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |