| NPI | 1346870888 |
|---|---|
| Former Name | ERIN KAY VAN DYKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 7539) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2325152) |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-12-16 |