| NPI | 1841625951 |
|---|---|
| Former Name | MOLLYROSE MILEWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-11376) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: SC 1968) |
| 363AS0400X Physician Assistant, Surgical (Licence: OH 50005855RX) | |
| Enumeration Date | 2013-09-08 |
| Last Update Date | 2021-12-22 |