NPI | 1497153472 |
---|---|
Former Name | COURTNEY ANN BURWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP021617) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014616) |
Enumeration Date | 2014-12-08 |
Last Update Date | 2021-11-15 |