| NPI | 1558870600 |
|---|---|
| Former Name | MALIA VANNATTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: HI 2326) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI 2326) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2023-02-13 |