NPI | 1952747446 |
---|---|
Former Name | KERRILYNN CARNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NH 20640) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 277643) |
Enumeration Date | 2013-05-11 |
Last Update Date | 2020-08-19 |