| NPI | 1225549595 |
|---|---|
| Former Name | ERIKA LOUISE ORTEGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110006664) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110006664) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA059375) | |
| 363AS0400X Physician Assistant, Surgical (Licence: VA 0110006664) | |
| 363AS0400X Physician Assistant, Surgical (Licence: PA MA059375) | |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2021-07-07 |