| NPI | 1629598958 |
|---|---|
| Former Name | MOLLY LYNN JIM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201708063RN) |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |