| NPI | 1902677040 |
|---|---|
| Former Name | CARLEY BURLESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 35585) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 906575) |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-06-11 |