| NPI | 1811357924 |
|---|---|
| Former Name | MOLLY ANN NIENHOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601007758) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.004603RX) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-11-21 |