NPI | 1346951811 |
---|---|
Former Name | ERIKA TAYLOR GALLARDO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 5210) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0007680) |
Enumeration Date | 2022-12-06 |
Last Update Date | 2025-02-06 |