| NPI | 1841728623 |
|---|---|
| Former Name | MOLLY A MULLERVY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: WY 1120) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NE 2150) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2025-06-24 |