| NPI | 1457876005 |
|---|---|
| Former Name | MEREDITH MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN11013530) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 772488) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2022-02-11 |