| NPI | 1346294139 |
|---|---|
| Former Name | DEBORAH DENISE BIBBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 2064) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WA PA10004719) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2017-12-05 |