NPI | 1174750590 |
---|---|
Former Name | KRISTEN DENISE KERR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: VA 0101259737) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 156602) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: CA A125592) | |
Enumeration Date | 2009-06-11 |
Last Update Date | 2021-04-21 |