| NPI | 1679824098 |
|---|---|
| Other Name | SHAREA N MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA F0912305) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN207060) |
| 363L00000X Nurse Practitioner (Licence: GA F0912305) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN207060) | |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2020-04-27 |