| NPI | 1063557338 |
|---|---|
| Former Name | LIBERTY MARCYZNSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA10005203) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID PA573) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2014-08-04 |