| NPI | 1184898108 |
|---|---|
| Former Name | ALICIA ELAINE MOON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: PA RN502533L) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: PA RN502533L) |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2009-06-10 |