| NPI | 1528129186 |
|---|---|
| Former Name | GERALDINE ANN KEARNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA 13268) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA 710511) |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric (Licence: CA 710511) | |
| 363AS0400X Physician Assistant, Surgical (Licence: CA PA13268) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2017-01-19 |