| NPI | 1003296724 |
|---|---|
| Former Name | MOLLY M LUNSTRUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID O-1008) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ID MRO-1478) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-12-15 |