NPI | 1659700029 |
---|---|
Former Name | ERICA ELIZABETH HAMILTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: OR PA167387) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CA 51265) |
Enumeration Date | 2013-11-06 |
Last Update Date | 2016-02-19 |