NPI | 1851765465 |
---|---|
Former Name | SHERRY BURKETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: FL ARNP9265974) |
Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: FL ARNP9265974) |
Enumeration Date | 2015-11-19 |
Last Update Date | 2024-10-14 |