| NPI | 1609075324 |
|---|---|
| Former Name | CAROLINE ANN KIERNAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 051759) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 15760) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: CT 051759) | |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2013-08-22 |