| NPI | 1306214341 |
|---|---|
| Former Name | MADELAINE ROSE SCHAUFEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2025-02250) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX V4774) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2025-09-08 |