| NPI | 1457604316 |
|---|---|
| Former Name | MARISA J. MOE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1151757) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: HI APRN-2471) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2025-08-29 |