| NPI | 1346591468 |
|---|---|
| Former Name | JACQUELIN L. MOLLOHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60834534) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 78342) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2023-07-28 |