NPI | 1386368231 |
---|---|
Former Name | AMY LEANNE NEWPORT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2022-10-03 |
Last Update Date | 2023-04-11 |