NPI | 1124233804 |
---|---|
Former Name | CARLA J BURNFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OH RN.186871) |
Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OH 186871) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2022-02-28 |