| NPI | 1013353846 |
|---|---|
| Former Name | JILL LYN MOLT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 27004) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN587964) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2020-05-20 |