| NPI | 1952703795 |
|---|---|
| Former Name | DEBORAH M MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011606) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041247173) |
| 163W00000X Registered Nurse (Licence: IN 28125940A) | |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-10-06 |