| NPI | 1801057518 |
|---|---|
| Former Name | CRYSTAL LEANA BURKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS017047) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OT012560) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2021-01-27 |