| NPI | 1720216781 |
|---|---|
| Former Name | ERIN K TANAKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61201088) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 25806) |
| 207P00000X Emergency Medicine (Licence: WA MD61201088) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2021-11-16 |