NPI | 1891414363 |
---|---|
Former Name | MOLLY O'BRIEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71014214A) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IN 28252269A) |
Enumeration Date | 2022-08-26 |
Last Update Date | 2023-09-07 |