NPI | 1932452687 |
---|---|
Former Name | HANNAH BURKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 01026) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 16026) |
Enumeration Date | 2012-10-18 |
Last Update Date | 2023-07-07 |