| NPI | 1750924536 |
|---|---|
| Other Name | AUSTEN DIANE MOFFITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61140649) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143607) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2021-11-08 |