| NPI | 1992066351 |
|---|---|
| Former Name | MALLORY MICHELLE BRATTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: MO 2011034424) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: SC 2931) |
| 133V00000X Dietitian, Registered (Licence: KS 1699) | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2025-01-06 |