NPI | 1518118819 |
---|---|
Former Name | ERIKA LEIGH JANOVICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA053617) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA 0A002416) |
Enumeration Date | 2008-10-06 |
Last Update Date | 2023-01-27 |