NPI | 1699124776 |
---|---|
Former Name | MOLLY ANN SOHOLT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 11798904-1205) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AZ R75819) |
Enumeration Date | 2016-06-08 |
Last Update Date | 2023-01-12 |