| NPI | 1508189267 |
|---|---|
| Former Name | CHRISTY A LIVELY-WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WV WV01436) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WV 01436) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2013-05-07 |