| NPI | 1700490117 |
|---|---|
| Former Name | ERIN ALAYNA MOON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA 61097344) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA 61097344) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA N361102349) | |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2021-11-18 |