| NPI | 1215363650 |
|---|---|
| Former Name | MOLLY M ODUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-105530) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-05530) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2016-08-24 |