| NPI | 1225707466 |
|---|---|
| Former Name | MADISON D VERRALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 031185) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: WA BG61193134) | |
| 363A00000X Physician Assistant (Licence: WA PA61187385) | |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2024-01-29 |