NPI | 1689611212 |
---|---|
Other Name | MOLLY JAHRAUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: SD 228) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: SD 0228) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2012-04-13 |