| NPI | 1235479064 |
|---|---|
| Former Name | ERIN C TIERNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002310A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9107018) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2022-03-18 |