| NPI | 1093910556 |
|---|---|
| Former Name | ERIN KOELLING MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: VA 0101246191) |
| Additional Taxonomies | 208600000X Surgery (Licence: VA 0101246191) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2024-06-04 |