| NPI | 1164154621 |
|---|---|
| Former Name | MALLORY ELAINE CRAYS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71012820A) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71012820A) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2023-03-22 |