NPI | 1720006141 |
---|---|
Former Name | DEBRAH DEE ERICKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WI 46047-20) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 48358) |
208M00000X Hospitalist (Licence: MN 48358) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2018-06-29 |