| NPI | 1669823068 | 
|---|---|
| Former Name | KORY MAYO | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN11024568)  | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209014384)  | 
| Enumeration Date | 2016-06-27 | 
| Last Update Date | 2023-07-14 |