NPI | 1750797676 |
---|---|
Former Name | MOLLY ANN LENHART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MT MED-PAC-LIC-102568) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 11657) |
363A00000X Physician Assistant | |
Enumeration Date | 2014-07-11 |
Last Update Date | 2023-06-15 |