| NPI | 1790262525 |
|---|---|
| Former Name | ERIN ELIZABETH GALLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10002599A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10002559A) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2025-06-16 |