| NPI | 1457858920 |
|---|---|
| Former Name | ALEXANDRIA KRISTINE ERICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO DR.0068917) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 008530) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2022-09-08 |