| NPI | 1073154423 |
|---|---|
| Other Name | CHRISTINA RAYE MOOSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012387) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 211011) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2023-08-07 |