NPI | 1174980304 |
---|---|
Former Name | MOLLY JEAN CASE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO APN.0992902-NP) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 5377074) |
Enumeration Date | 2016-01-19 |
Last Update Date | 2023-04-20 |