NPI | 1205147196 |
---|---|
Former Name | MEGAN RENEE ERICKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.11548-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRNCNP11548) |
Enumeration Date | 2010-06-25 |
Last Update Date | 2024-10-12 |