NPI | 1427674951 |
---|---|
Former Name | MOLLY ANNE YBORRA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE LG-0011517) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: DE L1-0045668) |
Enumeration Date | 2020-06-20 |
Last Update Date | 2020-12-17 |