| NPI | 1821614652 |
|---|---|
| Former Name | ERIN CATHERINE PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MO 2020017740) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2022-09-28 |