| NPI | 1871883942 |
|---|---|
| Former Name | MOLLIE ABIGAIL LAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: NM MD2020-0355) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM MD2020-0355) |
| 208000000X Pediatrics (Licence: NM MD2020-0355) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NM MD2020-0355) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2024-05-24 |