NPI | 1962762435 |
---|---|
Former Name | MOLLY GITTER MORIARTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 182628) |
Enumeration Date | 2012-05-18 |
Last Update Date | 2014-04-24 |