| NPI | 1265886873 |
|---|---|
| Former Name | MOLLY MCCORMACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-147948) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02005586A) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2022-05-03 |