| NPI | 1699706127 |
|---|---|
| Former Name | SUNAO LYNETTE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q2999) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 32816) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2019-05-08 |