| NPI | 1568969335 |
|---|---|
| Former Name | ANNALICIA MARIE BURNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A173617) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A173617) |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2024-04-12 |