| NPI | 1598298028 |
|---|---|
| Former Name | ERICA RAIKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.021334) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2018-08-30 |