NPI | 1255683637 |
---|---|
Former Name | ERIKA R. PETRO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004306) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: VA 0110004306) |
363AS0400X Physician Assistant, Surgical (Licence: WV 01655) | |
363AS0400X Physician Assistant, Surgical (Licence: VA 0110004306) | |
Enumeration Date | 2012-10-09 |
Last Update Date | 2025-05-07 |