| NPI | 1790823151 |
|---|---|
| Former Name | SUZANNE ERINN MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: KY 44436) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35091161) |
| 208000000X Pediatrics (Licence: KY 44436) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-10-23 |