| NPI | 1962852756 |
|---|---|
| Former Name | PRECIOUS M MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2020041682) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77253-012) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2020041682) | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2023-06-26 |