| NPI | 1306227426 |
|---|---|
| Former Name | STEPHANIE AMBER MALLERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: OH 35.133723) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.133723) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2026-02-06 |