| NPI | 1972961597 |
|---|---|
| Professional Name | BETH MOORE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate |
| 146N00000X Emergency Medical Technician, Basic | |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |