| NPI | 1417375981 |
|---|---|
| Former Name | AMANDA MOYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: NY 319852) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: VT BF4323200B29) |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: PA MD470840) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 319852) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2023-07-22 |