| NPI | 1437552387 |
|---|---|
| Former Name | MARLENE BURNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP012782) |
| Additional Taxonomies | 171W00000X Contractor (Licence: PA SP012782) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2016-06-17 |