| NPI | 1578600441 |
|---|---|
| Professional Name | MARY LORRAINE MALICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 70000085A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.010129) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-11-25 |