| NPI | 1699700252 |
|---|---|
| Other Name | MARY MOYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WA AP30005466) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00067944) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-06-09 |