NPI | 1972176014 |
---|---|
Former Name | MOLLY PATRICIA REASNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0996620-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0996620-NP) |
Enumeration Date | 2021-07-16 |
Last Update Date | 2023-11-09 |