| NPI | 1053556290 |
|---|---|
| Former Name | MOLLY MOONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX 634378) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 634378) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2015-11-20 |