NPI | 1730649021 |
---|---|
Other Name | LIBBY BURCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A178711) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-03-22 |
Last Update Date | 2023-09-25 |