NPI | 1588118368 |
---|---|
Former Name | WANMO LIU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F341556-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 7055651) |
Enumeration Date | 2016-08-09 |
Last Update Date | 2018-03-17 |