| NPI | 1649591439 |
|---|---|
| Former Name | KELLY ANN BURBA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301106613) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT 198012) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2015-08-25 |