NPI | 1962426676 |
---|---|
Former Name | ERICA A MORAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: MN 48710) |
Additional Taxonomies | 208600000X Surgery (Licence: MN 48710) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2020-08-18 |