| NPI | 1861981359 |
|---|---|
| Former Name | STACEY L BURNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9284166) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9284166) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2023-11-03 |