| NPI | 1366975328 |
|---|---|
| Former Name | ELIZABETH G LIBBY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1593) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VT 055.0031370) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2020-05-20 |