| NPI | 1265909543 |
|---|---|
| Former Name | MALORIE KRISTEN MCKINNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN9363014) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2026-02-26 |