| NPI | 1912780834 |
|---|---|
| Former Name | SYDNEY BURDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9117687) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9117687) |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2026-06-29 |