| NPI | 1306622816 |
|---|---|
| Former Name | THERESA ANN ERICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NV 15645) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-08-31 |