| NPI | 1366759839 |
|---|---|
| Former Name | MOLLY ELIZABETH SPEIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02457) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0005751) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2015-06-03 |