NPI | 1295147908 |
---|---|
Former Name | RUTH ANNE BURLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD461020) |
Additional Taxonomies | 207QH0002X Family Medicine Hospice and Palliative Medicine (Licence: PA MD461020) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT206016) | |
Enumeration Date | 2014-05-29 |
Last Update Date | 2019-01-14 |