| NPI | 1679763882 |
|---|---|
| Former Name | ERICA JOY TULL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101017347) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101017347) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2020-07-17 |