| NPI | 1558838557 |
|---|---|
| Former Name | ERICA NICOLE DICKHAUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.023844) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 023844) |
| Enumeration Date | 2018-10-28 |
| Last Update Date | 2019-10-21 |