| NPI | 1184099988 |
|---|---|
| Former Name | MOLLY SABOL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002892A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 5136) |
| 363A00000X Physician Assistant (Licence: WA PA61638047) | |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2024-12-26 |