| NPI | 1518065770 |
|---|---|
| Former Name | JUDITH MARIE ERICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20315) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ RN049313) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-07-19 |