| NPI | 1861246845 |
|---|---|
| Former Name | MALLORY SUE MCQUEEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KS 149082) |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-04-15 |