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 |