| NPI | 1821169590 |
|---|---|
| Former Name | MARY C. BURKHART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ AP4675) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 45190) |
| 363L00000X Nurse Practitioner (Licence: OK 207906) | |
| 363L00000X Nurse Practitioner (Licence: CA 95000713) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2024-02-13 |