| NPI | 1861680134 |
|---|---|
| Former Name | ERIN COLLEEN WANNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2007-01636) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A98582) |
| 208000000X Pediatrics (Licence: PA MD446619) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2014-06-25 |