NPI | 1528616513 |
---|---|
Former Name | KERRI R TIMMONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009442A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28206402A) |
363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IN 71009442A) | |
Enumeration Date | 2019-09-03 |
Last Update Date | 2023-09-08 |