| NPI | 1235589698 |
|---|---|
| Former Name | ERIN ROY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2022-12-22 |