| NPI | 1083043160 |
|---|---|
| Former Name | LIBBE HASSENFRITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IA 101482) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085004873) |
| 363AM0700X Physician Assistant, Medical (Licence: IA 101482) | |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2020-11-13 |