| NPI | 1225504236 |
|---|---|
| Former Name | MOLLY ELLEN WINIECKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA6750) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2022-08-03 |