| NPI | 1396706842 |
|---|---|
| Former Name | REGINA GAYLE FRUITS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11007037) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11007037) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2023-03-23 |