NPI | 1982334538 |
---|---|
Former Name | ELIZABETH ASHLEY KERR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ID 74168) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 10378613-3102) |
Enumeration Date | 2022-06-15 |
Last Update Date | 2023-05-12 |