| NPI | 1124532379 |
|---|---|
| Former Name | MADISON MCCLAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: AR L058032) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: VT 025.0133125) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |