| NPI | 1124393095 |
|---|---|
| Former Name | MALLORY E HELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: KS 15-01709) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OR PA156716) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2023-10-11 |