NPI | 1538431002 |
---|---|
Former Name | BRITTANY ANNE MOODY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MS 882745) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R882745) |
Enumeration Date | 2012-01-31 |
Last Update Date | 2021-02-25 |