| NPI | 1992173330 |
|---|---|
| Former Name | PEGGY L. MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009842) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1069555) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2023-11-27 |