NPI | 1508020983 |
---|---|
Former Name | ERIN PATRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085003296) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2008-07-15 |
Last Update Date | 2016-06-14 |