| NPI | 1689534570 |
|---|---|
| Former Name | MADISON ROSE BARRICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 12292254-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 12292254-3102) |
| Enumeration Date | 2025-11-13 |
| Last Update Date | 2026-01-09 |