| NPI | 1720134737 |
|---|---|
| Former Name | SHIRLEY ANN MOLITOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2006029960) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 45957) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |