| NPI | 1750837779 |
|---|---|
| Former Name | MALLORI BETH JIRIKOVIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD213501) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 11420227-1205) |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2024-05-15 |