NPI | 1093308819 |
---|---|
Former Name | MOLLY LONNEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208600000X Surgery (Licence: NE 35285) |
Additional Taxonomies | 208D00000X General Practice (Licence: NE 35285) |
Enumeration Date | 2021-02-12 |
Last Update Date | 2025-03-17 |