| NPI | 1144521022 |
|---|---|
| Former Name | TARA M. KERNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0024187060) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2011013790) |
| 363L00000X Nurse Practitioner (Licence: KS 53-75230-101) | |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2024-03-27 |