NPI | 1437460680 |
---|---|
Former Name | DEANNA LYNN ERB |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: MA 261121) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 261121) |
Enumeration Date | 2010-06-23 |
Last Update Date | 2014-10-10 |