| NPI | 1750761284 |
|---|---|
| Former Name | EMILY L MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD187123) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRM-1475) |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2018-12-21 |