| NPI | 1972013605 |
|---|---|
| Former Name | MADELINE GRACE CREGO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 23303) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN23303) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN23303) | |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2023-10-22 |