| NPI | 1750770657 |
|---|---|
| Former Name | ERICA LEIGH DOBOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9110820) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: PA MA057427) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2022-09-07 |