| NPI | 1033691670 |
|---|---|
| Former Name | NATALIE GAIL BURRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 7156) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 55908) |
| 363AS0400X Physician Assistant, Surgical (Licence: CA PA22908) | |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2023-01-05 |