| NPI | 1063979508 |
|---|---|
| Former Name | MADELINE LEE EISCHEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 13422) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 5131) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2023-10-20 |