| NPI | 1619580842 |
|---|---|
| Former Name | MOLLY KATHERINE FUNCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0033772) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11008871) |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2023-10-07 |