| NPI | 1639430721 |
|---|---|
| Former Name | ERICA RUTH KENNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: ND 14889) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2015015454) |
| 208000000X Pediatrics (Licence: KS 04-38120) | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2018-05-14 |