| NPI | 1255660528 |
|---|---|
| Other Name | MARY AMBER ERVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004673b) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY R4333) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2024-12-18 |