| NPI | 1811463599 |
|---|---|
| Former Name | MOLLY ELIZABETH UREY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA060167) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA005214) |
| 363A00000X Physician Assistant (Licence: NY 022872) | |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2022-12-14 |