NPI | 1447546601 |
---|---|
Former Name | HALLIE ANN KERINS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT 33364) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 6086) |
Enumeration Date | 2011-06-24 |
Last Update Date | 2023-03-07 |