| NPI | 1124363577 |
|---|---|
| Former Name | TERRI TONISHA MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN195252) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN195252) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN195252) | |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2014-10-27 |