| NPI | 1376860098 |
|---|---|
| Former Name | EMILY J BURGUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: DE C5-0000922) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0004221) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2014-02-19 |