| 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 |