| NPI | 1184887580 |
|---|---|
| Other Name | AMANDA JEAN MOREHOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TN 57094) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 64682) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2022-01-31 |