| NPI | 1841829926 |
|---|---|
| Former Name | MADELINE SUDEKUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2333579) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 153652) |
| 163W00000X Registered Nurse (Licence: MA RN2333579) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 083576-23) | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2024-12-10 |