| NPI | 1265737464 |
|---|---|
| Former Name | LAUREN BURKMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10164) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021201) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2024-10-21 |