| NPI | 1659473692 |
|---|---|
| Former Name | ERICKA LEA STOOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA053070) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NJ 25MP00083500) |
| 363A00000X Physician Assistant (Licence: IL 085004536) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2023-02-08 |