| NPI | 1982987376 |
|---|---|
| Former Name | MALLORY EMMA MCCORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 006613) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 6613) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2014-01-29 |