| NPI | 1316492515 |
|---|---|
| Former Name | MOLLY A. COSTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2273833) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2273833) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2024-10-07 |