NPI | 1023580198 |
---|---|
Professional Name | LAKESHA WILSON BURNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA Rn148146) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA RN148146) |
Enumeration Date | 2018-12-29 |
Last Update Date | 2019-09-06 |