| NPI | 1922889377 |
|---|---|
| Former Name | MADISON DANGLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 9898) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2024-10-16 |