NPI | 1811588478 |
---|---|
Former Name | MOLLY O'MARA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347150) |
Additional Taxonomies | 208600000X Surgery (Licence: NY 347150) |
Enumeration Date | 2021-01-27 |
Last Update Date | 2023-07-03 |