| NPI | 1508213380 |
|---|---|
| Former Name | MEGAN ERICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0652) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 12309) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2019-10-07 |