| NPI | 1528794492 |
|---|---|
| Former Name | COURTNEY L BURROUGHS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012945A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71012945A) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2024-03-05 |