| NPI | 1356823272 |
|---|---|
| Former Name | ALLISON MICHELLE BURCKHARTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA10147) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA12293) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2019-02-08 |