| NPI | 1013085679 |
|---|---|
| Former Name | MARQUISHA DENISE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AL 28059) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL 28059) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2022-08-07 |