| NPI | 1285904052 |
|---|---|
| Former Name | REBECCA CAROLINE BURNETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN255236) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000016131) |
| 363LF0000X Nurse Practitioner, Family (Licence: SC 19060) | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2021-04-26 |