NPI | 1265190730 |
---|---|
Former Name | MOLLY ELIZABETH RYAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012134A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28209720A) |
Enumeration Date | 2021-12-02 |
Last Update Date | 2023-05-09 |