NPI | 1043698848 |
---|---|
Other Name | KATHY HORNE BURGESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 19351) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007629) |
Enumeration Date | 2015-05-12 |
Last Update Date | 2021-12-06 |