| NPI | 1235666900 |
|---|---|
| Former Name | AMANDA MORRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 77678) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 13-123501) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2022-07-28 |