NPI | 1508920026 |
---|---|
Former Name | MELISSA D BURKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: FL PA 9103235) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IN 10004766A) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2025-05-28 |