| NPI | 1124458856 |
|---|---|
| Former Name | ANDREA J BURNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.005078RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA056497) |
| 363A00000X Physician Assistant (Licence: PA OA003197) | |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2019-12-13 |