| NPI | 1508273590 |
|---|---|
| Former Name | MALLORY LOUISE MARKIEWICZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-198535) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60485703) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2024-02-19 |