NPI | 1558548727 |
---|---|
Former Name | EMILIE LOUISE ERBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 4182) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA 19524) |
363A00000X Physician Assistant (Licence: HI AMD-361) | |
Enumeration Date | 2008-01-29 |
Last Update Date | 2016-04-07 |