| NPI | 1811395601 |
|---|---|
| Former Name | MOLLY ELIZABETH MCGOWAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 19267) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 177301) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2022-03-18 |