NPI | 1790316495 |
---|---|
Former Name | DAWN MARIE MADDEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: GA RN238889) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: GA RN238889) |
2279P3900X Respiratory Therapist, Registered, Neonatal/Pediatrics (Licence: GA 6961) | |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: GA RN238889) | |
Enumeration Date | 2020-01-31 |
Last Update Date | 2024-02-01 |