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) |
Enumeration Date | 2015-12-04 |
Last Update Date | 2024-07-12 |