| NPI | 1255870556 |
|---|---|
| Former Name | COURTNEY MOYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.004996RX) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: OH 50.004996RX) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2023-11-03 |