| NPI | 1952952947 |
|---|---|
| Former Name | ERICA JO PODOLSKY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN 26456) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000026456) |
| Enumeration Date | 2019-09-22 |
| Last Update Date | 2024-09-23 |