| NPI | 1053765495 |
|---|---|
| Former Name | MALLORY LYNN IRONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WI 83795) |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2024-08-01 |