| NPI | 1649658030 |
|---|---|
| Former Name | BIANCA BURNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9445365) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 183971) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2024-02-14 |