| 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 |