| NPI | 1245854819 |
|---|---|
| Former Name | LAURA BURNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 28201025A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28201025A) |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2022-04-01 |