| NPI | 1881120764 |
|---|---|
| Former Name | OLGA V. MALLETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 12215780-1204) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: UT 12215780-1204) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2021-11-12 |