| NPI | 1780125278 |
|---|---|
| Former Name | MALLORY RAHAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209015762) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209015762) |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2026-04-07 |