| NPI | 1366264996 |
|---|---|
| Former Name | MADELYNN ROSE CANNON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN61338923) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 76075) |
| 163W00000X Registered Nurse (Licence: AZ 264039) | |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |