| NPI | 1275844136 |
|---|---|
| Former Name | DEBRA MADISON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401660) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: NY 486617-1) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2016-12-11 |