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