| NPI | 1023867967 |
|---|---|
| Former Name | DANIELLE N MALLOY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2026-09-08 |