NPI | 1366850208 |
---|---|
Former Name | ERIN M. GALLAGHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: DE C5-0001197) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0005433) |
Enumeration Date | 2014-07-23 |
Last Update Date | 2018-05-03 |