| NPI | 1053649590 |
|---|---|
| Former Name | GINNA J MOON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209007882) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041329165) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2014-01-03 |