NPI | 1124258686 |
---|---|
Former Name | JESSIE LEE KERNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 53744) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 53744) |
Enumeration Date | 2009-07-19 |
Last Update Date | 2015-10-30 |