NPI | 1609413251 |
---|---|
Former Name | KEARA LEIGH AHERN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NJ 26NJ00984200) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00984200) |
Enumeration Date | 2019-12-03 |
Last Update Date | 2022-04-11 |