NPI | 1558013300 |
---|---|
Professional Name | BETH BURGESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011076) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 1101176) |
Enumeration Date | 2022-01-24 |
Last Update Date | 2022-04-27 |