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 |