NPI | 1215969043 |
---|---|
Former Name | HENRY JOSEPH MADDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MA 75096) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 8782) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2022-10-07 |