NPI | 1932355468 |
---|---|
Former Name | ERICA LYNN ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: UT 8100568-1205) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: UT 81005681205) |
207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: MT 69085) | |
207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL ME148465) | |
Enumeration Date | 2008-08-15 |
Last Update Date | 2024-10-31 |