| NPI | 1952885873 |
|---|---|
| Former Name | COURTNEY FOULK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 30509) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN281643) |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2024-09-19 |