| NPI | 1295117414 |
|---|---|
| Former Name | MOLLY K WHEATLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA187229) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: OR LD10162938) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2022-02-15 |