| NPI | 1528441359 |
|---|---|
| Former Name | ELAINE GENEVIEVE BURGESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI 5901002582) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2025-05-18 |