| NPI | 1326443433 |
|---|---|
| Former Name | SHARRY D MALLORY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: KY KY-0509) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IN 37001258A) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |