| NPI | 1295180248 |
|---|---|
| Former Name | ELYSE KERNER ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX W2754) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 68597) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.144531) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2026-08-18 |