NPI | 1932641826 |
---|---|
Former Name | LAURA BETH BURKITT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP140645) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM CNP-03172) |
363LF0000X Nurse Practitioner Family (Licence: NM CNP-03172) | |
163W00000X Registered Nurse (Licence: OK 103013) | |
Enumeration Date | 2016-11-09 |
Last Update Date | 2019-08-01 |