NPI | 1578819009 |
---|---|
Former Name | KRISTINE GAYLE BURNS, BORLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9170048) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9170048) |
Enumeration Date | 2012-08-02 |
Last Update Date | 2015-04-21 |