NPI | 1851053656 |
---|---|
Former Name | ALLISON N BURKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AR 21591) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AR 212591) |
Enumeration Date | 2021-10-08 |
Last Update Date | 2023-04-19 |