| NPI | 1881845329 |
|---|---|
| Former Name | JANIE L BURRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3559) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 79376) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2009-05-01 |