| NPI | 1104255058 |
|---|---|
| Former Name | MARIE DOROTHEA MCGRATH LIBBEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704251238) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2014-05-15 |