NPI | 1528331774 |
---|---|
Former Name | JULIA MICHELE MOSES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R165102) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: DE LG-0001275) |
363LF0000X Nurse Practitioner, Family (Licence: DE LG-0001275) | |
Enumeration Date | 2012-02-20 |
Last Update Date | 2024-08-23 |