NPI | 1033450382 |
---|---|
Former Name | ALLYSON BETH ERVING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 7966) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA08348) |
Enumeration Date | 2013-03-12 |
Last Update Date | 2016-09-09 |