| NPI | 1033360326 |
|---|---|
| Former Name | ALISHA DIANE ADAMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: NH 0677) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: MD C0003816) |
| Enumeration Date | 2008-10-05 |
| Last Update Date | 2019-10-15 |