| NPI | 1407884703 |
|---|---|
| Former Name | JACQUELINE RAE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: OH NS07725) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-08 |