| NPI | 1851060636 |
|---|---|
| Former Name | AMANDA PRESTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 8495) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 8495) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2025-01-31 |