| NPI | 1093307845 |
|---|---|
| Former Name | MADISON SCOTTIE NEWSOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-14395) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2024-08-19 |