| NPI | 1124342761 |
|---|---|
| Former Name | CAITLIN RENAE KERN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: WI 56353) |
| Additional Taxonomies | 208600000X Surgery (Licence: NC 2015-00411) |
| 208600000X Surgery (Licence: WI 56353) | |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2016-07-05 |