| NPI | 1720682735 |
|---|---|
| Former Name | SARITA MARIE MADELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32982) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 211419) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2023-02-28 |