NPI | 1184957060 |
---|---|
Former Name | KIMBERLY ANN BURROW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006176) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3006176) |
363LF0000X Nurse Practitioner, Family (Licence: KY 3006176) | |
Enumeration Date | 2009-09-10 |
Last Update Date | 2020-11-02 |