| NPI | 1598241887 |
|---|---|
| Former Name | EMILY MADEIRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP019056) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN661424) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2022-08-18 |