| NPI | 1740479922 |
|---|---|
| Former Name | DAWN MARIE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 230659) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 230659) |
| 363LF0000X Nurse Practitioner, Family (Licence: MA 230659) | |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2009-10-19 |