| NPI | 1558752170 |
|---|---|
| Former Name | MOLLIE MCDANIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60782636) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60276437) |
| Enumeration Date | 2015-02-18 |
| Last Update Date | 2021-04-01 |