| NPI | 1427429620 |
|---|---|
| Former Name | HANNAH MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: KY PA2044) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: KY TC438) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2022-02-09 |