| NPI | 1700362704 |
|---|---|
| Former Name | ERIN RACHEL VANDENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601010111) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA059839) |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2022-08-31 |