| NPI | 1427476084 |
|---|---|
| Former Name | ASHLEY MADONICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0116027812) |
| Additional Taxonomies | 208600000X Surgery (Licence: MA 260828) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2015-11-11 |