| NPI | 1154901700 |
|---|---|
| Former Name | ABIGAIL MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: CT 12029) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11026394) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2024-03-06 |