| NPI | 1497091326 |
|---|---|
| Former Name | LINDSEY BURGESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 7130) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: TN 2770) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2015-01-16 |