| NPI | 1235936840 |
|---|---|
| Former Name | HALEY NICOLE MADEWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 978088) |
| Enumeration Date | 2025-03-01 |
| Last Update Date | 2025-03-01 |