| NPI | 1639135213 |
|---|---|
| Former Name | MARY E MALOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 8061) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: TX 8061) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2014-08-06 |