NPI | 1700253275 |
---|---|
Former Name | ERIN CARROLL DEMLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 59199) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2015-08-31 |
Last Update Date | 2021-04-23 |