| NPI | 1902121932 |
|---|---|
| Former Name | ERIN ROSE RUNDQUIST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60683659) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-21997) |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2024-01-19 |