| NPI | 1578956231 |
|---|---|
| Former Name | MOLLY K. FORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 3482-23) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2021-04-06 |