| NPI | 1649729088 |
|---|---|
| Former Name | ERIN ELIZABETH IGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN CNP4905) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 183333-1) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2018-01-16 |