NPI | 1760929822 |
---|---|
Former Name | MOLLY KYLE ABEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AR 230368) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP133057) |
Enumeration Date | 2017-01-27 |
Last Update Date | 2025-03-25 |