NPI | 1801808506 |
---|---|
Former Name | CHRISTIE LIBERATORE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: VA 0017139005) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY F3349531) |
Enumeration Date | 2006-08-12 |
Last Update Date | 2022-08-31 |