| NPI | 1760861827 |
|---|---|
| Former Name | MOLLY CATHLEEN CUSHING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA61319) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA179814) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2024-07-11 |