NPI | 1407300726 |
---|---|
Professional Name | MADELINE MICHELLE RAZAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704298074) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704298074) |
Enumeration Date | 2016-08-04 |
Last Update Date | 2021-08-09 |