| NPI | 1932355468 |
|---|---|
| Former Name | ERICA LYNN ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: FL ME148465) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 81005681205) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2021-06-24 |