NPI | 1043740020 |
---|---|
Former Name | ADRIENNE NICOLE SLAUGHTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-140957) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 1-140957) |
Enumeration Date | 2017-06-13 |
Last Update Date | 2023-08-11 |