NPI | 1427445030 |
---|---|
Former Name | ERIKA M. AGNEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS16565) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS019347) |
Enumeration Date | 2015-04-21 |
Last Update Date | 2022-03-01 |