| NPI | 1619200672 |
|---|---|
| Former Name | ERIN WEINISCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 006109) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 006109) |
| 363A00000X Physician Assistant (Licence: FL PA9105075) | |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2021-01-06 |