NPI | 1700175106 |
---|---|
Former Name | HOLLI KATHLEEN BURNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-144789) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AR A03525) |
Enumeration Date | 2011-04-06 |
Last Update Date | 2021-04-30 |