| NPI | 1407003098 |
|---|---|
| Former Name | JULIE ANN LIVELY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 10439-NP) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH RN 311853) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2013-06-05 |