NPI | 1023457934 |
---|---|
Former Name | ERIKA LANE SIMMERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: GA 87542) |
Additional Taxonomies | 208600000X Surgery (Licence: SC 83419) |
208600000X Surgery (Licence: GA 006171) | |
2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IN 11020514A) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-06-25 |
Last Update Date | 2024-03-12 |