| NPI | 1942789763 |
|---|---|
| Former Name | AMY MORIAH ROSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN286168) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2019-06-06 |