| NPI | 1063074144 |
|---|---|
| Former Name | ANASTASIA BURKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2024-03068) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 8623) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2025-01-10 |