NPI | 1053695288 |
---|---|
Former Name | EMILY BURKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA.200791) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN PA2046) |
Enumeration Date | 2011-10-06 |
Last Update Date | 2024-05-02 |