| NPI | 1063657302 |
|---|---|
| Former Name | LAUREN JONES MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP141956) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63070) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2019-06-26 |