NPI | 1619455367 |
---|---|
Former Name | ERIN STRAUBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA059952) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA005588) |
Enumeration Date | 2018-08-04 |
Last Update Date | 2023-08-08 |