| NPI | 1528481553 |
|---|---|
| Former Name | ERIN AILEEN O'MALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-04790) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NC 0010-04790) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2021-10-01 |