NPI | 1568938876 |
---|---|
Other Name | MOLLY MICHELE BERNING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA8748) |
Additional Taxonomies | 363A00000X Physician Assistant |
363A00000X Physician Assistant (Licence: CT 4336) | |
Enumeration Date | 2018-10-15 |
Last Update Date | 2022-09-09 |