| NPI | 1619389384 |
|---|---|
| Former Name | CHERI D MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3011210) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 3011210) |
| 363L00000X Nurse Practitioner (Licence: OK 94552) | |
| 363L00000X Nurse Practitioner (Licence: KY 3011210) | |
| 363LF0000X Nurse Practitioner Family (Licence: OH CNP-021207) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: KY 3011210) | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2023-07-06 |