| NPI | 1619919636 |
|---|---|
| Former Name | NATALIE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00107700) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP007634) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |