| NPI | 1821616376 |
|---|---|
| Other Name | CRYSTAL BURKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007710) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL APRN11007710) |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2024-07-18 |