| NPI | 1568837920 |
|---|---|
| Former Name | CHRISTIE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 20799) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 20799) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2023-02-22 |