| NPI | 1588861207 |
|---|---|
| Former Name | ABIGAIL JOAN FULLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN8044) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: TN RN127334) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2023-06-27 |