NPI | 1902149198 |
---|---|
Former Name | CINDY MOSS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 758247) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 758247) |
363LF0000X Nurse Practitioner, Family (Licence: TX AP123395) | |
Enumeration Date | 2013-04-05 |
Last Update Date | 2018-11-21 |