| NPI | 1255714705 |
|---|---|
| Former Name | MALLORY A WILLIAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01080447A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN 21728) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2018-07-18 |