| NPI | 1508236225 |
|---|---|
| Former Name | SAMANTHA MOODY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP132730) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9315726) |
| 363L00000X Nurse Practitioner (Licence: TX AP132730) | |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2021-07-21 |