| NPI | 1558347773 |
|---|---|
| Former Name | ERIN L MALLON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A1300376) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2000164074) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2024-07-29 |