NPI | 1598107484 |
---|---|
Former Name | MOLLY KATHLEEN COTRONEO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 11577) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WI 3406-23) |
363AS0400X Physician Assistant, Surgical (Licence: MN 11577) | |
Enumeration Date | 2013-07-22 |
Last Update Date | 2023-03-13 |