NPI | 1538684170 |
---|---|
Former Name | MOLLY RAE AASBY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR 219198) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017024394) |
Enumeration Date | 2017-08-04 |
Last Update Date | 2022-07-21 |