| NPI | 1932799525 |
|---|---|
| Former Name | MOLLY SCHELLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 8066) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ND R43825) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2022-11-23 |