| NPI | 1881147130 |
|---|---|
| Former Name | ERIN MICHELLE GROH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 7970) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 7970) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2020-03-20 |