NPI | 1841578069 |
---|---|
Former Name | ERIN RENEE HOWARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0004072) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601006022) |
Enumeration Date | 2011-07-22 |
Last Update Date | 2017-02-10 |