| NPI | 1558701672 |
|---|---|
| Former Name | ALLISON MOON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT NUR-RN-LIC 38936) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2024-10-14 |