| NPI | 1568753820 |
|---|---|
| Former Name | KATIE M MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 0535764) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 0535764) |
| 208D00000X General Practice (Licence: KS 05-35764) | |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2023-03-31 |