| NPI | 1861870115 |
|---|---|
| Former Name | MALLORY MCGINNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 04-40874) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2024-03-27 |