NPI | 1720744857 |
---|---|
Professional Name | JUANITA RENEE BURTT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024283000) |
Enumeration Date | 2021-11-12 |
Last Update Date | 2022-01-04 |