| NPI | 1801353081 |
|---|---|
| Former Name | MALLORY BRIELLE HARRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN239579) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2023-08-29 |