NPI | 1780945816 |
---|---|
Former Name | ERIKA REESE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35.144874) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116024445) |
Enumeration Date | 2012-06-05 |
Last Update Date | 2024-12-19 |