| NPI | 1699292292 |
|---|---|
| Former Name | CECILY ALEXANDRA MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9336228) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5010575) |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2025-04-14 |