| NPI | 1295355451 |
|---|---|
| Former Name | ERICA MICHELE BASQUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101281921) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101281921) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2024-06-25 |