| NPI | 1194967281 |
|---|---|
| Former Name | NICHOLE PATRICIA BURKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM MD2016-0230) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME 115102) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-04-03 |
| Last Update Date | 2023-11-21 |