| NPI | 1881097475 |
|---|---|
| Former Name | TABER BURLESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ AP7349) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7349) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP7349) | |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2024-01-15 |