| NPI | 1083608764 |
|---|---|
| Former Name | LIBBY A LONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD0000041089) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-112878) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2014-06-10 |