NPI | 1104044171 |
---|---|
Other Name | EVELYN LUCILLE BURRUSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 262863) |
Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: CA 2226) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2007-07-08 |