| NPI | 1568800647 |
|---|---|
| Former Name | AMANDA GAIL MOFFITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 092728) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2006022082) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2023-11-28 |