NPI | 1558066688 |
---|---|
Former Name | ERIN PINNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA 62379) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 62379) |
Enumeration Date | 2023-03-30 |
Last Update Date | 2023-05-05 |