| NPI | 1396599932 |
|---|---|
| Former Name | CARLY JANE BURGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71015489A) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IN 28210211A) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-10-03 |