NPI | 1144539552 |
---|---|
Former Name | KHAREEM BURKLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA9105590) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 9105590) |
363AM0700X Physician Assistant, Medical (Licence: FL 9105590) | |
Enumeration Date | 2010-10-02 |
Last Update Date | 2022-02-10 |