Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 0101054079 | VA |
NPI | 1083692057 |
---|---|
Provider Name | Marianna W. Horn |
First Address | Falls Church, VA 22042 |
Second Address | Washington, DC 20002-8100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2006 |
Last Update Date | 11/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006718159 | (05) | VA |
C34081 | (02) |