NPI | 1700189636 |
---|---|
Professional Name | TONYA MARETTA MOSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: MI 4704204426) |
Enumeration Date | 2010-12-15 |
Last Update Date | 2023-02-07 |