NPI | 1972010031 |
---|---|
Former Name | SARAH ANN KERN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209017086) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.422016) |
363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209.017086) | |
Enumeration Date | 2018-01-10 |
Last Update Date | 2021-01-06 |