| NPI | 1104326735 |
|---|---|
| Former Name | LIBBY CHANCELLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 213242) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 0113701) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2023-06-19 |