| NPI | 1679934483 |
|---|---|
| Former Name | RANYA I MADHOUN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25mp00398700) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 019570) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2020-05-10 |