| NPI | 1255683637 |
|---|---|
| Former Name | ERIKA R. PETRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: VA 0110004306) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WV 01655) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2013-10-31 |