| NPI | 1578878740 |
|---|---|
| Former Name | NICOLE ELIZABETH KERN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA13285) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 002420) |
| 363A00000X Physician Assistant (Licence: CT 002420) | |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2024-05-20 |