| NPI | 1174989792 |
|---|---|
| Former Name | ELYSA C. KERR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009266) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 271750) |
| 363L00000X Nurse Practitioner (Licence: AL 1-129494) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5009266) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5009266) | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2021-01-27 |