| NPI | 1922392349 |
|---|---|
| Former Name | KRISTEN ANN BURGESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A149147) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 005149) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL TPME1450) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2023-08-23 |