| NPI | 1932573482 |
|---|---|
| Former Name | ERIKA J PEAVY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA058034) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA058034) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2022-03-09 |