| NPI | 1407940547 |
|---|---|
| Professional Name | JERRI KATHLEEN MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX J0605) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 26000) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-10-19 |