NPI | 1114996295 |
---|---|
Former Name | ERIKA ELIZABETH TAYLOR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 003542) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 003542) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2020-08-18 |