| NPI | 1063662419 |
|---|---|
| Former Name | CHRISTY BURRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R887871) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MS P322384) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2016-10-27 |