| NPI | 1225287055 |
|---|---|
| Former Name | ERIN E GORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110002093) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00190100) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |