| NPI | 1043637051 |
|---|---|
| Former Name | VERONICA N. MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 209-011080) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 041370660) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2024-09-13 |