NPI | 1467987800 |
---|---|
Former Name | ALLISON CATHERINE LIVINGSTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0126269) |
Enumeration Date | 2017-04-24 |
Last Update Date | 2018-09-21 |