NPI | 1518513399 |
---|---|
Former Name | MOLLY ELIZABETH HARTMAN-O'CONNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R220483) |
Enumeration Date | 2019-08-16 |
Last Update Date | 2021-09-22 |