| NPI | 1700312568 |
|---|---|
| Former Name | ERIN KATHLEEN MACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD480676) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME168913) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2024-08-22 |