NPI | 1003885781 |
---|---|
Former Name | ALLISON E. BURST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 004718-1) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NY 4718) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2023-03-21 |