NPI | 1063465482 |
---|---|
Other Name | MISTY ANN MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS r860233) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN apn11904) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2024-06-20 |