| NPI | 1497217400 |
|---|---|
| Former Name | LIBBI RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA8171) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: RI PA01129) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2021-11-15 |