| NPI | 1467996041 |
|---|---|
| Former Name | MALLORY ANN ADAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA D156468) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 112617) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2019-12-12 |