| NPI | 1336673946 |
|---|---|
| Other Name | SAVANNAH MOON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-140246) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-140246) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2021-04-12 |