| NPI | 1174834014 |
|---|---|
| Former Name | LAUREN M BURKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: IN 10001180A) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 10001180A) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2021-06-25 |