NPI | 1568937423 |
---|---|
Former Name | ERICA R LIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP019356) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: PA RN649194) |
Enumeration Date | 2018-10-08 |
Last Update Date | 2023-08-21 |