| NPI | 1306485636 |
|---|---|
| Former Name | KATIE BURLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704336083) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 4704336083) |
| 163W00000X Registered Nurse (Licence: OH 406155) | |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2022-05-20 |