| NPI | 1144250887 |
|---|---|
| Former Name | MOLLIE ANNE HOSSFELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2006010378) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A8948) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2012-10-04 |