NPI | 1609166974 |
---|---|
Other Name | MALLORY ANNE MORA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A148097) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CA A148097) |
Enumeration Date | 2011-04-07 |
Last Update Date | 2017-10-12 |