Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | AP 60406547 | WA |
N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | F350275 | NY |
NPI | 1346468261 |
---|---|
Provider Name | Kristy Cho Liu |
First Address | Seattle, WA 98112-6209 |
Second Address | New York, NY 10021-4870 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 25/10/2013 |