| NPI | 1902527336 |
|---|---|
| Former Name | MOLLIE RAYMOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 244353) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 848981) |
| 163W00000X Registered Nurse (Licence: AZ 244353) | |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2025-08-04 |