NPI | 1629614706 |
---|---|
Professional Name | TISCHINA C MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP144107) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP144107) |
Enumeration Date | 2019-11-22 |
Last Update Date | 2022-03-04 |