| NPI | 1023502697 |
|---|---|
| Former Name | MOLLY MCINTYRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 6375) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71008038A) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2019-01-25 |