| NPI | 1942531363 |
|---|---|
| Former Name | MOLLY ANNE LESE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: WI 5065-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 5065) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2023-08-18 |