| NPI | 1306214341 |
|---|---|
| Former Name | MADELAINE SCHAUFEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX V4774) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 164.006645) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2024-11-05 |