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 |