NPI | 1972522647 |
---|---|
Former Name | EMILY FISHER MOORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1400X Registered Nurse, College Health (Licence: CA 577244) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 15876) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2024-03-28 |