| NPI | 1932883899 |
|---|---|
| Former Name | ERICA LYDEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351050769) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2025-01-24 |