| NPI | 1144640012 |
|---|---|
| Former Name | KERRI VENTRESCA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA100303) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: ME AT409) |
| 146M00000X Emergency Medical Technician, Intermediate (Licence: ME 26731) | |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2024-05-30 |