| NPI | 1649245440 |
|---|---|
| Former Name | EFFIE BURK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY TC079) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9102536) |
| 363A00000X Physician Assistant (Licence: VA 0110007853) | |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2023-11-30 |