NPI | 1679923783 |
---|---|
Former Name | ERIN KRISTEN HANLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 58414) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA184844) |
Enumeration Date | 2016-06-20 |
Last Update Date | 2023-04-07 |