| NPI | 1619523800 |
|---|---|
| Former Name | LAUREN E BURKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F344490) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 344490) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2022-10-17 |