| NPI | 1396466132 |
|---|---|
| Former Name | JACQUELINE BURNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11021615) |
| Enumeration Date | 2022-09-09 |
| Last Update Date | 2022-11-22 |