NPI | 1871035824 |
---|---|
Former Name | SARAH ERICKSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 033733) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61268490) |
Enumeration Date | 2016-11-08 |
Last Update Date | 2025-06-27 |