NPI | 1558058230 |
---|---|
Former Name | JAMEE MARGARET MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207PS0010X Emergency Medicine, Sports Medicine (Licence: CA 110002223) |
Enumeration Date | 2023-04-21 |
Last Update Date | 2023-04-21 |