NPI | 1093224768 |
---|---|
Former Name | MOLLY C MEES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: 085006338) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085006338) |
Enumeration Date | 2017-09-26 |
Last Update Date | 2022-07-21 |