NPI | 1306276803 |
---|---|
Former Name | ERIN ALYCIA EGGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-04573) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-04573) |
Enumeration Date | 2013-11-19 |
Last Update Date | 2021-04-07 |