| NPI | 1922860857 |
|---|---|
| Former Name | KATRINA NICOLE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 13012198-3102) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |