NPI | 1114293990 |
---|---|
Former Name | CAITLIN COLLEEN BURKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OR MD188366) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD188366) |
Enumeration Date | 2012-03-27 |
Last Update Date | 2018-08-07 |