| NPI | 1396977179 |
|---|---|
| Former Name | MOLLY E GORMLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VT 055-0030981) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VT 055-0031059) |
| 363A00000X Physician Assistant (Licence: VT 055-0031058) | |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2019-11-12 |