| NPI | 1619220589 |
|---|---|
| Former Name | HALEY E MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2016011590) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 26225) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2019-09-03 |