NPI | 1801131347 |
---|---|
Former Name | CAROLYN MICHELLE BURROWS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.13724) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.13724-NP) |
Enumeration Date | 2012-12-11 |
Last Update Date | 2022-03-15 |