| NPI | 1215184643 |
|---|---|
| Former Name | AMY RENEE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP9226261) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9226261) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2023-02-07 |