| NPI | 1154987253 |
|---|---|
| Former Name | TAMIKA BURGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174N00000X Lactation Consultant, Non-RN (Licence: CA L-115671) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: CA 17546) |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2020-08-01 |