| NPI | 1396204350 |
|---|---|
| Former Name | TAMARA MICHELLE BURLESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: CO DR.0068689) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2023-02-03 |