| NPI | 1376022616 |
|---|---|
| Former Name | AMANDA BROOKE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MS 900593) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: MS R900593) |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2022-12-20 |