| NPI | 1578562484 |
|---|---|
| Former Name | SYLVIA JANE BURSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: LA 017394) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: LA 014534) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2011-06-01 |