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 |