| NPI | 1316151392 |
|---|---|
| Former Name | SUZANNE ELIZABETH LIVENGOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 858) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC 858) |
| 363AS0400X Physician Assistant, Surgical (Licence: SC 858) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2024-08-21 |