NPI | 1285063644 |
---|---|
Former Name | KATIE MARIE MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60411115) |
Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: WA AP60411115) |
Enumeration Date | 2013-11-06 |
Last Update Date | 2023-09-05 |