NPI | 1922853415 |
---|---|
Former Name | KIERNEY N ROSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID 7971464) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM-2374) |
Enumeration Date | 2024-04-18 |
Last Update Date | 2025-07-28 |