Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | LK-0010209 | DE |
N | 363LW0102X | Nurse Practitioner - Women's Health | LH-0010252 | DE |
NPI | 1083376735 |
---|---|
Provider Name | Molly Patricia Orourke |
First Address | Newark, DE 19713-2074 |
Second Address | Newark, DE 19713-2074 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2021 |
Last Update Date | 11/10/2021 |