NPI | 1851867139 |
---|---|
Former Name | EMILEE KATHRYN BURTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013182) |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9495300) | |
Enumeration Date | 2018-10-15 |
Last Update Date | 2020-10-08 |