| NPI | 1659870590 |
|---|---|
| Former Name | MADONNA MARIE DUPRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP135379) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 718016) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2019-05-21 |