| NPI | 1306394937 |
|---|---|
| Former Name | MARY MOLONY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3010516) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010516) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2022-02-28 |