| NPI | 1942480066 |
|---|---|
| Former Name | JULIE RACHELLE MADRID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: AZ 3719) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 3719) |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2015-11-25 |