| NPI | 1073165940 |
|---|---|
| Other Name | AUTUMN LYNNE BURKETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: LA RN146205) |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |