NPI | 1104508993 |
---|---|
Former Name | VANESSA M KERN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71014451A) |
Additional Taxonomies | 207N00000X Dermatology (Licence: IN 71014451A) |
Enumeration Date | 2023-08-02 |
Last Update Date | 2023-11-27 |