| NPI | 1457506487 |
|---|---|
| Former Name | ERICA L VANGILDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO PA.0003148) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 0003148) |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2018-10-18 |