| NPI | 1588024285 |
|---|---|
| Former Name | KERRYROSE JOYCEANN GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 9287130) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL ARNP9287130) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2023-07-05 |