NPI | 1700028453 |
---|---|
Former Name | CHRISTINE JUNE MOSER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO 50486) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP3879) |
Enumeration Date | 2009-03-27 |
Last Update Date | 2011-12-02 |