| NPI | 1558616573 |
|---|---|
| Former Name | KERRY RONAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MX029775) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00447100) |
| 363AS0400X Physician Assistant, Surgical (Licence: NJ 25MP00447100) | |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2019-11-05 |