NPI | 1215347885 |
---|---|
Former Name | NICOLE JANEEN MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 20040188904) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2004018904) |
Enumeration Date | 2014-05-05 |
Last Update Date | 2020-05-20 |