NPI | 1972248573 |
---|---|
Former Name | MOLLY STURLIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA OP61670413) |
Additional Taxonomies | 208D00000X General Practice (Licence: CO DR.0072087) |
Enumeration Date | 2022-04-28 |
Last Update Date | 2025-08-15 |