NPI | 1811454291 |
---|---|
Former Name | CADY BURCHAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 26447) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 382949) |
Enumeration Date | 2019-02-21 |
Last Update Date | 2025-04-09 |