NPI | 1932357647 |
---|---|
Former Name | ERIN JEAN DILORENZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA19894) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: AZ 5723) |
Enumeration Date | 2008-09-05 |
Last Update Date | 2021-04-26 |