NPI | 1033732037 |
---|---|
Former Name | ERIN LUDWICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-10921) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-10921) |
Enumeration Date | 2020-05-26 |
Last Update Date | 2024-04-10 |