NPI | 1649606278 |
---|---|
Former Name | MOLLY MARIE MCCAUGHEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.14896) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA14896NP) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: PA SP016635) | |
Enumeration Date | 2013-09-14 |
Last Update Date | 2021-03-30 |