| NPI | 1750680310 |
|---|---|
| Former Name | ERICA L SUNSTROM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL OS16635) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NV 213503816) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NV DO1942) | |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL OS16635) | |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2020-08-19 |