NPI | 1205155959 |
---|---|
Former Name | JENNIFER LEE ERBES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IA 39961) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA 39961) |
207P00000X Emergency Medicine (Licence: IA R-8852) | |
207P00000X Emergency Medicine (Licence: IL 036.132371) | |
Enumeration Date | 2010-05-20 |
Last Update Date | 2021-01-06 |