| NPI | 1538285556 |
|---|---|
| Former Name | KATHLEEN MARIE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: OR 076036678RN) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |