| NPI | 1295933638 |
|---|---|
| Former Name | CYNTHIA LORRAINE MOORHEAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX J6606) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2007-07-08 |