| NPI | 1992709224 |
|---|---|
| Former Name | JOAN LEE MOOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN9238080) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN203802L) |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2023-03-17 |