| NPI | 1427476084 | 
|---|---|
| Former Name | ASHLEY MADONICK | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA10349400)  | 
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0116027812)  | 
| 208600000X Surgery (Licence: MA 260828)  | |
| Enumeration Date | 2014-04-01 | 
| Last Update Date | 2024-08-07 |