| NPI | 1073093621 |
|---|---|
| Former Name | AMANDA LEIGH SIDEBOTTOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MI 4704400935) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2025-10-02 |