NPI | 1528515954 |
---|---|
Former Name | MOLLY LOKKEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 7220-33) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WI 7220-33) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2021-11-24 |