| NPI | 1164794418 |
|---|---|
| Former Name | ERIKA ALYSE WAGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0060136) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 1063) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2022-06-22 |