| NPI | 1417085705 |
|---|---|
| Former Name | MARY ALICE MADSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 033282) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 66618-30) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2010-07-21 |