| NPI | 1174104673 |
|---|---|
| Former Name | ERIKA RUDOLPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX V1040) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10075272) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2024-09-10 |