| NPI | 1003095373 |
|---|---|
| Former Name | ADRIENNE PACKHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: UT 4985108-1206) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: UT 4985108-1206) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2021-11-20 |