| NPI | 1932401809 |
|---|---|
| Former Name | MADELYN ADAMS TINGLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110003869) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA002558) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2023-04-12 |