NPI | 1841994852 |
---|---|
Former Name | MOLLY CATHERINE KRESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: TX V5737) |
Additional Taxonomies | 171000000X Military Health Care Provider |
Enumeration Date | 2023-03-27 |
Last Update Date | 2025-03-11 |