| NPI | 1447378575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARA V LIEBLING Owner 802-362-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |