| NPI | 1548772833 |
|---|---|
| Former Name | REBECCA MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: FL APRN11020402) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021516) |
| 363LP0222X Nurse Practitioner Pediatrics, Critical Care (Licence: OH APRN.CNP.021516) | |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2022-08-29 |