| NPI | 1841849338 |
|---|---|
| Former Name | ANGELA D BURBACH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9442-33) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 9442-33) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2024-06-05 |