| NPI | 1881090082 |
|---|---|
| Former Name | DEVIN LEE BURGHART-MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 81154) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 142713) |
| 183700000X Pharmacy Technician | |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2014-11-15 |
| Last Update Date | 2022-07-30 |