| NPI | 1245230473 |
|---|---|
| Former Name | AMY D MALLORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP113271) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 666203) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2015-02-04 |