| NPI | 1538781588 |
|---|---|
| Former Name | MADISEN JANSSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 34.017197) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2024-04-29 |