| NPI | 1366036568 |
|---|---|
| Other Name | DENISE ALICIA LIVERMORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 9577) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347275) |
| Enumeration Date | 2021-02-28 |
| Last Update Date | 2021-08-19 |