| NPI | 1518653344 |
|---|---|
| Former Name | ERIN DORIS MOODY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 37419) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 249705) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2024-11-06 |