NPI | 1134158728 |
---|---|
Other Name | PEGGY M MADRAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277000522) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 140767) |
363LF0000X Nurse Practitioner, Family (Licence: MO 140767) | |
Enumeration Date | 2006-07-03 |
Last Update Date | 2020-10-23 |