NPI | 1700362704 |
---|---|
Former Name | ERIN RACHEL SLAZENBERG |
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 | 2024-12-05 |