| NPI | 1417737230 |
|---|---|
| Former Name | MADISON MAE LANDIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: DC NP1057601) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1057601) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R258106) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: DC NP1057601) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R258106) | |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2024-10-25 |