| NPI | 1295012813 |
|---|---|
| Former Name | RAINA DERRELLE BURLEIGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP119571) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 671971) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2019-09-06 |