NPI | 1831693167 |
---|---|
Former Name | ERIN ELIZABETH ATWOOD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2024029113) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.141814) |
208000000X Pediatrics (Licence: PA MD480026) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2018-03-21 |
Last Update Date | 2024-09-20 |