| NPI | 1144521022 |
|---|---|
| Former Name | TARA M. KERNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2011013790) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 75230) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2025-12-02 |