| NPI | 1740803618 |
|---|---|
| Former Name | ERIN MALONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 4853) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2025-02-05 |