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 |