NPI | 1740293802 |
---|---|
Former Name | ERIKA E ALBA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 2015) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 2015) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2016-03-02 |