| NPI | 1942720891 |
|---|---|
| Former Name | ERICA LYNNE STOCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4634) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN 4634) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2023-12-12 |