| NPI | 1790187441 |
|---|---|
| Former Name | MOLLIE E BASH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: ME PA1636) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: DE C5-0000969) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2024-08-08 |