| NPI | 1528201415 |
|---|---|
| Former Name | MOLLY ROSE MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WA PA10004196) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2022-04-05 |