| NPI | 1346921095 |
|---|---|
| Former Name | MOLLY ANN SHORT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: SC 27670) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2024-07-25 |