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: KS 04-38120) |
208000000X Pediatrics (Licence: MO 2015015454) | |
Enumeration Date | 2012-06-05 |
Last Update Date | 2024-06-03 |