| NPI | 1770168981 |
|---|---|
| Former Name | MEREDITH SIMPSON BURBANK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209022581) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041486987) |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2022-12-09 |