| NPI | 1528364437 |
|---|---|
| Former Name | KERI BURLESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110003530) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: DC PA030945) |
| 363A00000X Physician Assistant (Licence: MD C05067) | |
| 363AM0700X Physician Assistant Medical (Licence: VA 0110003530) | |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2022-06-03 |