NPI | 1326606351 |
---|---|
Former Name | ERICA MARIE CRANSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: GA 98528) |
Additional Taxonomies | 208600000X Surgery (Licence: PA MT218164) |
Enumeration Date | 2019-06-04 |
Last Update Date | 2025-02-21 |