| NPI | 1447611496 |
|---|---|
| Former Name | MALLORY B TROSPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71011134A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R204051) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2024-09-09 |