| NPI | 1669466520 |
|---|---|
| Former Name | JANICE LYNNE MOSELEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101058027) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0007532) |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2018-06-20 |