NPI | 1366787723 |
---|---|
Former Name | LINDSEY HELEN MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: GA 6694) |
Enumeration Date | 2012-12-11 |
Last Update Date | 2018-12-10 |