NPI | 1467821280 |
---|---|
Former Name | MEGHAN LYNN BURNS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9445505) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: LA AP08523) |
Enumeration Date | 2015-09-22 |
Last Update Date | 2016-12-13 |