NPI | 1245745785 |
---|---|
Former Name | ERICKA BLAKE FEHL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: PA MA058931) |
Enumeration Date | 2017-12-06 |
Last Update Date | 2020-10-08 |