| NPI | 1245936624 |
|---|---|
| Former Name | KERRI MARIE MCINNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MN 77593) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MN 33267) |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2024-07-24 |