| NPI | 1215267018 |
|---|---|
| Former Name | REBECCA A BURRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MS R876189) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2020-08-11 |