| NPI | 1003253857 |
|---|---|
| Former Name | ERICA RENE WILT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 98605) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX U9107) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2024010304) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME166086) | |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: NC 2017-01913) | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2024-07-05 |