NPI | 1528114428 |
---|---|
Other Name | MOLLY MONTESANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 000035633N2 PNP-PP) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 000035633N2 PNP-PP) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2007-07-08 |