NPI | 1720015662 |
---|---|
Former Name | CHRISTINA DAWN MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME102202) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME102202) |
Enumeration Date | 2006-06-27 |
Last Update Date | 2010-03-03 |