| NPI | 1922612530 |
|---|---|
| Former Name | MADELEINE L JAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011545A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28228866A) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2023-05-05 |