NPI | 1073979480 |
---|---|
Former Name | ANNA MOBLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5017297) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN2051) |
Enumeration Date | 2016-01-14 |
Last Update Date | 2025-08-06 |