| NPI | 1699461814 |
|---|---|
| Former Name | MADISON A PARKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0107514) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 65782P) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2026-07-02 |