| NPI | 1902056617 |
|---|---|
| Former Name | ERICA ELIZABETH CORCORAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35.099407) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2013-04-17 |