| 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 |