| NPI | 1922776855 |
|---|---|
| Former Name | NICOLE BURNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: UT 13510328-1205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SC LL87933) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2023-08-04 |