| NPI | 1568082576 |
|---|---|
| Former Name | MOLLY ELIZABETH MACINNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 125.077028) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.077028) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2020-06-30 |