| NPI | 1164230736 |
|---|---|
| Former Name | AMANDA L LIVINGSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-181546) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: SC 31486) |
| 363L00000X Nurse Practitioner (Licence: MS 908141) | |
| Enumeration Date | 2024-12-27 |
| Last Update Date | 2026-02-02 |