| NPI | 1942535109 |
|---|---|
| Former Name | MOLLY ELIZABETH HERRMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 1090341) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IL 085003614) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2021-01-12 |