| NPI | 1235664558 |
|---|---|
| Former Name | KOURTNEY ERICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: PA OS019999) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OT017584) |
| 207RR0500X Internal Medicine, Rheumatology (Licence: PA OT017584) | |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2022-09-01 |