NPI | 1255392981 |
---|---|
Former Name | SHEROL L BURNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: WI R0754602) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 133811) |
Enumeration Date | 2006-03-31 |
Last Update Date | 2007-07-08 |