| NPI | 1629588504 |
|---|---|
| Former Name | LINDSEY GAVIOLI FOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OR 201804532NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 61319) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0993447) | |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2023-06-07 |