NPI | 1295168979 |
---|---|
Former Name | KERI RATLIFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: WV 682) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0110-004341) |
Enumeration Date | 2013-08-16 |
Last Update Date | 2022-07-21 |