| NPI | 1205316288 |
|---|---|
| Former Name | MALLORY DAWN DYESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP138127) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 827133) |
| Enumeration Date | 2018-08-18 |
| Last Update Date | 2022-08-29 |