| NPI | 1588935803 |
|---|---|
| Former Name | MADELINE MERENDA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 339989) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 11438) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2023-06-06 |