NPI | 1467018531 |
---|---|
Former Name | ERIN SCHROEDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 024240) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NY 67002914) |
Enumeration Date | 2019-05-14 |
Last Update Date | 2021-03-01 |