| NPI | 1508872607 |
|---|---|
| Former Name | ERIN OSINGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OR PA155264) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 2000) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2014-10-31 |