| NPI | 1235774415 |
|---|---|
| Former Name | ERICA LEIGH HOLDERBAUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.025849) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 025849) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2020-02-18 |