NPI | 1922492396 |
---|---|
Former Name | ALLISON MARIE KERR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036145142) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125066412) |
Enumeration Date | 2015-03-24 |
Last Update Date | 2018-08-22 |