| NPI | 1447986542 |
|---|---|
| Former Name | ERIN DENTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2022010393) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 1502593) |
| Enumeration Date | 2022-07-29 |
| Last Update Date | 2022-07-29 |