| NPI | 1053584573 |
|---|---|
| Former Name | JENNIFER E. MADAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CT 045968) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CT 045968) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2022-04-13 |