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 |