| NPI | 1902847056 |
|---|---|
| Other Name | EVELYN SANDRA MOODY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9179625) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP1243) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-02-23 |