NPI | 1508121765 |
---|---|
Former Name | DAY MICHELLE BURRUSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: TN 57671) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 57671) |
Enumeration Date | 2012-07-12 |
Last Update Date | 2018-07-26 |