NPI | 1366858466 |
---|---|
Former Name | MOLLY ROSE PERLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 063930-23) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 063930-23) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2024-10-01 |