| NPI | 1730686205 |
|---|---|
| Former Name | MOLLY SUZANNE ZUMBRO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.150878) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0070164) | |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2024-08-14 |