NPI | 1386201606 |
---|---|
Former Name | MEGAN ANN BURNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 10163) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 124970) |
Enumeration Date | 2019-05-22 |
Last Update Date | 2024-02-14 |