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 |