| NPI | 1245340090 |
|---|---|
| Former Name | DEBORA DEE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006493) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00148934) |
| 163W00000X Registered Nurse (Licence: OR 0099006931RN) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 099006931N1) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2022-01-04 |