| NPI | 1750664090 |
|---|---|
| Former Name | ERIN A. LISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA055039) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA002770) |
| 363AS0400X Physician Assistant, Surgical (Licence: PA OA002770) | |
| 363AS0400X Physician Assistant, Surgical (Licence: PA MA055039) | |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2020-12-18 |