NPI | 1073020483 |
---|---|
Former Name | REBECCA JOHAN BURTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 14599-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 22318230) |
Enumeration Date | 2018-01-08 |
Last Update Date | 2023-10-26 |