| NPI | 1093741449 |
|---|---|
| Former Name | MARY ORIANS MALVICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201902087NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201902085RN) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2023-05-04 |