| NPI | 1164813838 |
|---|---|
| Former Name | MOLLY SULLIVAN KEARFOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3012205) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3012205) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2018-06-07 |