| NPI | 1346458510 |
|---|---|
| Former Name | KERRI RENEE SISTRUNK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0060185) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX N0466) |
| 207P00000X Emergency Medicine (Licence: IL 125-051129) | |
| Enumeration Date | 2007-05-19 |
| Last Update Date | 2018-07-20 |