| NPI | 1619476504 |
|---|---|
| Former Name | CLARISSA BURTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 296121) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1652933) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0993700-NP) | |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2023-10-16 |