| NPI | 1457855306 |
|---|---|
| Former Name | KAIA MARIE ERICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: OR MD217771) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2023-10-05 |