| NPI | 1346797792 |
|---|---|
| Former Name | KATIE MCKERNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 113295) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 113295) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-10-12 |