| NPI | 1386987006 |
|---|---|
| Former Name | ERICA ALLISON BLOOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 293953) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 293953) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2023-06-30 |