NPI | 1215150040 |
---|---|
Former Name | BARBARA BURG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA G71605) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MD-14119) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2017-04-12 |