| NPI | 1013220110 |
|---|---|
| Former Name | ERIKA GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-04220) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 014066) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2021-10-15 |