NPI | 1184963472 |
---|---|
Former Name | MELONY KAY KENNER MALOY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123144) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP123144) |
Enumeration Date | 2013-02-06 |
Last Update Date | 2020-11-23 |