NPI | 1912300344 |
---|---|
Former Name | AMBERLEE LIVESEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 352981) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1125752) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95001403) | |
Enumeration Date | 2014-09-30 |
Last Update Date | 2025-03-17 |