| NPI | 1669612701 |
|---|---|
| Former Name | ERIN MICHELLE WALLANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA09309) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 001001520) |
| 363A00000X Physician Assistant (Licence: NV PA1370) | |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2016-07-06 |