NPI | 1619244274 |
---|---|
Former Name | ERICA KAISER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.003348) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50-003348) |
Enumeration Date | 2011-11-28 |
Last Update Date | 2023-11-27 |