| NPI | 1104160217 |
|---|---|
| Former Name | KAYELA FAYE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9233632) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9233632) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2024-06-06 |