NPI | 1407473044 |
---|---|
Former Name | ERICA LEIGH HERZIG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58357) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-06-30 |
Last Update Date | 2023-01-09 |