| NPI | 1003976853 |
|---|---|
| Former Name | MICHAELLA ERIN MALONEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2088P0231X (Licence: SC 34633) |
| Additional Taxonomies | 208800000X Urology (Licence: IL 036125648) |
| 2088P0231X (Licence: IL 036125648) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2012-08-15 |