| NPI | 1821523325 |
|---|---|
| Former Name | KARYN MOSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: UT 10957204-1205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH UE780322) |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2018-10-09 |