| NPI | 1871331066 |
|---|---|
| Former Name | MALLORY KAY ADAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 151986) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: WI 1104221) |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-09-12 |